Individual
AMANDA HOOKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(888) 364-5977
Mailing address
19350 RUSH CT NW, ELK RIVER, MN 55330-8263
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4113
MN
Other
Enumeration date
02/21/2019
Last updated
04/23/2019
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